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Residential Lease Application
Each occupant and co-applicant 18-years or older must submit a separate application.
Property Addres
Anticipated: Move In Date
Monthly Rent $
Security Deposit $
Applicant was referred to Landlord by:
Real Estate Agent
Newspaper
Sign
Internet
Other
If Real Estate Agent
Name
Phone Number
Applicants Name (first, middle, last)
Is there a co-applicant?
If yes, co-applicant must submit a separate application
Yes
No
Applicants former last name (maiden or married)
Email
Home Phone
Work Phone
Mobile/Pager
Soc. Sec. No.
Driver License No.
Driver License State
Emergency Contact
Name
Address
Phone
Email
Name all other persons who will occupy the Property:
Relationship
Age
Applicants Current Address:
Lanlords Name
Email
Phone
Phone
Phone
Fax
Date Moved-In
Date Moved-Out
Rent $
Reason for move:
Applicants Previous Address:
Previous Lanlords Name
Email
Phone
Phone
Phone
Fax
Date Moved-In
Date Moved-Out
Rent $
Note: If applicant is self employed, Landlord may require one or more previous year's tax return attested by a CPA, attorney, or other tax professional.
Applicants Previous Employer
Address
Supervisors Name
Phone
Fax
Email
Employed From
To
Gross Monthly Income $
Position
Describe other income the Applicant wants considered
List all vehicles to be parked on the Property
List all pets to be kept on the Property (dogs, cats, reptiles, fish, and other pets)
Neutured?
Yes
No
Declawed?
Yes
No
Rabies Shots Current?
Yes
No
List all pets to be kept on the Property (dogs, cats, reptiles, fish, and other pets)
Neutured?
Yes
No
Declawed?
Yes
No
Rabies Shots Current?
Yes
No
Applicant Questionaire
Will any waterbeds or water-filled furniture be on the Property?
Yes
No
Does anyone who will occupy the Property smoke?
Yes
No
Will the Applicant mainain renter's insurance?
Yes
No
Is the Applicant or Applicant's spouse, even if separated, in military?
Yes
No
If yes, is the military person serving under orders limiting the military person’s stay to one year or less?
Yes
No
Has the Applicant ever:
been evicted?
Yes
No
been asked to move out by a landlord?
Yes
No
breached a lease or rental agreement?
Yes
No
filed for bankruptcy?
Yes
No
lost property in a foreclosure?
Yes
No
had any credit problems, slow-pays or delinquencies?
Yes
No
been convicted of a crime?
Yes
No
Is any occupant a registered sex offender?
Yes
No
Are there any criminal matters pending against any occupant?
Yes
No
Is there additional information Applicant wants considered?
Yes
No
If yes, Explain
Notice of Landlord’s Right to Continue to Show the Property: Unless Landlord and Applicant enter into a separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties and Landlord may continue to show the Property to other prospective tenants and accept another offer.
Acknowledge
Privacy Policy: Landlord’s agent or property manager maintains a privacy policy that is available upon request.
Acknowledge
Applicant submits a non-refundable fee of $______ for processing and reviewing this application
Check only one box if applicable
Amount to be applied to the security deposit upon the execution of a lease or returned to Applicant if a lease is not executed.
The Application Deposit in accordance with the attached Agreement for Application Deposit and Hold on Property (TAR No. 2009 or similar agreement).
Acknowledgement & Representation: (1) Signing this application indicates that Applicant has had the opportunity to review Landlord’s tenant selection criteria, which is available upon request. The tenant selection criteria may include factors such as criminal history, credit history, current income and rental history. (2) Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign. (3) Applicant represents that the statements in this application are true and complete.
Applicant Digital Signature
Date
Submit Application
